To fully customize your elements, you are able to rotate them and change their orientation.
You can change the orientation of any object using the image properties bar:
Or by moving your cursor to a corner of the element until it transforms to a "rotate" cursor. From there, click/drag until the element is rotated the way you'd like:
The object can be rotated to any degree.
The following objects can be rotated:
Single Text boxes (not page flow text boxes)